CAJ | 학술논문

目的：采用阶段式目标教学法加强对神经介入医师的培训效果。方法2012年3月至2015年3月，首都医科大学宣武医院介入放射科共培训39名来自全国各地的医师，培训方法为将1年的进修期按每3个月划分为4个阶段，并将学习内容分阶段进行重点教学并设置目标，使其具有明确的目的性。进修医师期满回到原工作单位后6、12个月，分别发放调查问卷，以获得进修医师独立工作的情况。结果39名医师从理论到实际操作均达到预期目标，掌握缺血性脑血管病的整体化治疗原则，熟悉并掌握全脑DSA和支架置入等技术。至第四阶段，每名医师作为术者至少完成5例颅外段动脉支架置入。进修结束后回收的调查问卷显示，95.8％（23／24）的医师能够独立开展全脑DSA，并保持≥5例／月的数量；87.5％（21／24）的医师能够独立完成支架置入（1例／月）。结论阶段式目标教学法是神经介入专项技术培训实用、有效的教学手段。
목적：채용계단식목표교학법가강대신경개입의사적배훈효과。방법2012년3월지2015년3월，수도의과대학선무의원개입방사과공배훈39명래자전국각지적의사，배훈방법위장1년적진수기안매3개월화분위4개계단，병장학습내용분계단진행중점교학병설치목표，사기구유명학적목적성。진수의사기만회도원공작단위후6、12개월，분별발방조사문권，이획득진수의사독립공작적정황。결과39명의사종이론도실제조작균체도예기목표，장악결혈성뇌혈관병적정체화치료원칙，숙실병장악전뇌DSA화지가치입등기술。지제사계단，매명의사작위술자지소완성5례로외단동맥지가치입。진수결속후회수적조사문권현시，95.8％（23／24）적의사능구독립개전전뇌DSA，병보지≥5례／월적수량；87.5％（21／24）적의사능구독립완성지가치입（1례／월）。결론계단식목표교학법시신경개입전항기술배훈실용、유효적교학수단。
Objective To strengthen the training effect of the neuro-interventional surgeons using staged target teaching method. Methods A total of 39 neurosurgeons from all over the country were trained at the Department of Interventional Radiology,Xuanwu Hospital,Capital Medical University from March 2012 to March 2013. In the one-year training period,the training was divided into 4 stages (each stage for 3 months). All the learning contents were phased to focus on teaching and set the target at each stage,which had a clear purpose. Questionnaires were sent to the refresher doctors at 6 months and 12 months after they returned to their original work in order to obtain the conditions about their independent work after training. Results All the 39 neurosurgeons achieved their desired goal from theory to practical operation. They mastered the holistic treatment principles of ischemic cerebrovascular disease and were familiar with and mastered the whole brain DSA and stenting techniques. At the fourth stage,as an operator, everyone had finished at least 5 extracranial artery stentings. The recovered questionnaires after the end of training showed that 95. 8%(23/24)neurosurgeons were able to perform whole brain DSA independently and held≥5 surgeries monthly;87. 5%(21/24)neurosurgeons could complete stenting independently (1 patient/month). Conclusion The staged target teaching method is a practical and effective teaching means for special technical training of neurointervention.